ArticlePlastic and reconstructive surgery. Global open2018
An Enhanced Recovery after Surgery Pathway for Microvascular Breast Reconstruction Is Safe and Effective.
Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Clinical pathways for secondary care and the effects on professional practice, patient outcomes, length of stay and hospital costs.The Cochrane database of systematic reviews · 2025Pooled it
- Enhanced Recovery Pathways for Flap-Based Reconstruction: Systematic Review and Meta-Analysis.Aesthetic plastic surgery · 2021Pooled it
- Enhanced Recovery After Surgery for Breast Reconstruction: Pooled Meta-Analysis of 10 Observational Studies Involving 1,838 Patients.Frontiers in oncology · 2019Pooled it
- Review
- Review
- Optimizing perioperative care in autologous breast reconstruction: a narrative review.Gland surgery · 2026Review
- [Perioperative management of direct-to-implant-based breast reconstruction in breast cancer patients and West China Hospital experiences].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Improving the Patient Experience in Breast Reconstruction: ERAS and Beyond.Journal of clinical medicine · 2025Review
- Moving Toward the Outpatient DIEP Flap: Factors Influencing Early Discharge.Plastic and reconstructive surgery · 2025Article
- Evidence-based Algorithms for Free Deep Inferior Epigastric Perforator Flap Salvage in Autologous Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2025Article
- The first 150 consecutive DIEP free flaps: Lessons learnt and a guide to efficiency for the junior plastic surgeon.JPRAS open · 2024Article
- Impact of Gabapentin on Postoperative Hypotension in Enhanced Recovery after Surgery Protocols for Microvascular Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2024Article
- Acceptance of outpatient enhanced recovery after surgery (ERAS©) protocols for implant-based breast reconstruction nudged on by the COVID-19 pandemic.Breast (Edinburgh, Scotland) · 2024Article
- Moving the needle: a narrative review of enhanced recovery protocols in breast reconstruction.Annals of translational medicine · 2023Review
- Enhanced Recovery after Surgery Protocol Decreases Length of Stay and Postoperative Narcotic Use in Microvascular Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2023Article
- Implementation of an Enhanced Recovery after Surgery Pathway for Transgender and Gender-Diverse Individuals Undergoing Chest Reconstruction Surgery: An Observational Cohort Study.Journal of clinical medicine · 2023Article
- Postoperative Day 1 Discharge in Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2023Article
- Canadian Trends in Free Flap Management for Microsurgical Lower Limb Reconstruction.Plastic surgery (Oakville, Ont.) · 2023Article
- The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review.Plastic and reconstructive surgery. Global open · 2022Article
- Implant-based versus Autologous Reconstruction after Mastectomy for Breast Cancer: A Systematic Review and Meta-analysis.Plastic and reconstructive surgery. Global open · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to develop, implement, and evaluate a standardized perioperative enhanced recovery after surgery (ERAS) clinical care pathway in microsurgical abdominal-based breast reconstruction.
methodsDevelopment of a clinical care pathway was informed by the latest ERAS guideline for breast reconstruction. Key features included shortened preoperative fasting, judicious fluids, multimodal analgesics, early oral nutrition, early Foley catheter removal, and early ambulation. There were 3 groups of women in this cohort study: (1) traditional historical control; (2) transition group with partial implementation; and (3) ERAS. Narcotic use, patient-reported pain scores, antiemetic use, time to regular diet, time to first walk, hospital length of stay, and 30-day postoperative complications were compared between the groups.
resultsAfter implementation of the pathway, the use of parenteral narcotics was reduced by 88% (traditional, 112 mg; transition, 58 mg; ERAS, 13 mg;
conclusionsA clinical care pathway in microsurgical breast reconstruction using the ERAS Society guideline promotes successful early recovery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.